Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report . Figure 2: Evacuation of hematocolpos and heamatometra. Hematometra a nd Hematocolpos: Ultrasound. Findings. x/79/ lolo. $ JOACHIM. F. SAILER’. An imperforate hymen is the most. A large hematometra and hematocolpos were detected by transabdominal ultrasound scanning. Transabdominal ultrasound depicted a distended uterus 90 mm.
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Antifibrinolytics have the effect of halting the lysis of clots occurring at the end of the clotting cascade thus improving the clotting process. Hematocolpos is a medical condition in which the vagina fills with menstrual blood.
Views Read Edit View history. Hematometra or hemometra is a medical hemaotcolpos involving collection or retention of blood in the uterus.
Imperforate Hymen Presenting with Massive Hematometra and Hematocolpos: A Case Report
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Potential etiologies include progestin use, decreased uterine contractility triggered by high progestin levels, which might have prevented the effective removal of menstrual debris, and lastly, a possible partial obstruction causing massive uterine bleeding and drainage of bleeding around a solid obstruction.
Additionally, hematometra may develop as a complication of uterine or cervical surgery hematocoplos as endometrial ablationwhere scar tissue in the endometrium can “wall off” sections of endometrial glands and stroma causing blood to accumulate in the uterine cavity. Ultrasonographic diagnosis and assisted surgical management of hematotrachelos and hematometra due to uterine cervical atresia with associated vaginal agenesis.
October 05, ; Published date: Hematometrocolpos is accumulation of blood in the vagina and uterine cavity due to intra-uterine hemorrhage. Congenital abnormalities resulting in hematometrocolpos include imperforate hymen, a complete transverse vaginal septum, vaginal and, rarely, cervical atresia [ 789 ].
Her transabdominal ultrasound revealed massive hematometra and hematocolpos. Abstract Hematometrocolpos is accumulation of blood in the vagina and uterine cavity due to intra-uterine hemorrhage.
Hematometra – Wikipedia
Both ovaries were observedly normal. Journal of ultrasound in medicine: J Pediatr Adolesc Gynecol. Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion.
No conflict of interest was declared by the authors.
Hematocolpospelvic massprogestin. They opted for a virginity-preserving hymenotomy.
Antenatal ultrasound can also detect the bulging imperforate hymen due hematocklpos the accumulation of hydrocolpos or mucocolpos in the female fetus that occurred in response to maternal oestrogens. After resolution of the hematometrocolpos was shown by transabdominal ultrasound 2 days later, the patient, who was stable, was discharged without complication.
The case is presented here because of successful management of hematometrocolpos hekatometra to massive dysfunctional uterine bleeding in a young virgin patient. Human Malformations and Related Anomalies.
Minimal edges of the hymen were excised in our patient as were done by other authors [ 28 ]. The patient was discharged without complication. Guidelines Upcoming Special Issues. Surgery is always indicated when imperforate hymen becomes symptomatic we report the case of an imperforate hymen who presented late with delayed menarche, massive hematocolpos and hematometra.
Endometriosis of ovary Female infertility Anovulation Poor ovarian reserve Mittelschmerz Oophoritis Ovarian apoplexy Ovarian cyst Corpus luteum cyst Follicular cyst of ovary Theca lutein cyst Ovarian hyperstimulation syndrome Ovarian torsion.
Most girls who want to conceive after surgery usually achieve pregnancy [ 11 ].